16_3651_CDRL_REV_2__9-15-16.pdf
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- Attached to
- Fitness Center Staff and Operation
- Solicitation number
- N66604-16-Q-3651
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Contract Data Requirements List (CDRLs) Exhibit A
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Request For Quotation: N66604-16-Q-3651
Exhibit “A”
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Fitness Center 1300597575
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 TECHNICAL REPORT - STUDY/SERVICES
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW 4.1.3, 4.1.7, 4.3.1,
4.3.2, NUWCDIVNPT Code 10
18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
MTHLY See Block 16
b. COPIES
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
N/A
0 See Block 16 Reg Repro
16. REMARKS
COR 0 1 0
Block 3 Subtitles 4.3.1 and 4.3.2 USAGE and COMPARISON
REPORTS
4.3.1 and 4.3.2 Maintenance and Repair Reports, Maintenance
Issues Reports, and 4.1.7 Management Reports
Block 9: See attached Block 16 Addendum
Blocks 10/11/12/13: 12 submissions for each subtitle.
Submit reports 5 days after end of each month.
15. TOTAL 0 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 TECHNICAL REPORT - STUDY/SERVICES See Block 16
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW 4.2.4 NUWCDIVNPT Code 10
18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
See Block 16 See Block 16
b. COPIES
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
A a
N/A See Block 16
16. REMARKS
COR 0 1 0
Block 3 – Lecture and Educational Seminar materials and
NUWWDIVNPT Events handout materials.
Block 9: See attached Block 16 Addendum
Block 10/12/13: Contractor shall submit draft seminar and event handouts 30 days prior to the event or seminar identified in GFI. Government will review and comment within 20 days. Final documents due at event.
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DESIREE GILLILAND 09/01/2016 Martha Merriwether 9-14-2016
DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 3 Pages
Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 TECHNICAL REPORT - STUDY/SERVICES First Aid Emergency Responder
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW 4.1.7 NUWCDIVNPT Code 10
18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
See Block 16 See Block 16
b. COPIES
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
N/A N/A
16. REMARKS
COR 0 1 0
Blocks 10/12: Estimated 12 submissions. Submit via e-mail same day injury occurs (within one hour after phone call)
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A004 TECHNICAL REPORT - STUDY/SERVICES See Block 16
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW 4.1.6, 4.2.5 NUWCDIVNPT Code 10
18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
See Block 16 See Block 16
b. COPIES
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
16 REMARKS
COR 0 1 0
Block 3 Subtitles
4.1.6 Posters and Motivational Material
4.2.5 Quarterly Newsletter
Block 9 – See Block 16 Addendum
Block 10/12/13: Contractor shall submit draft for each subtitle 30 days prior to the beginning of each quarter.
Government will review and comment within 10 days, Contractor
Contractor shall submit final within 20 days. (Quarter beginning)
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DESIREE GILLILAND 09/16/2016 Martha Merriwether 9-14-2016
DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 3 Pages
Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A005 TECHNICAL REPORT - STUDY/SERVICES GROUP EXERCISE SCHEDULE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW 4.2.2, 4.3.2 NUWCDIVNPT Code 10
18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
See Block 16 See Block 16
b. COPIES
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
A
16. REMARKS
Blocks 10/12/13: Estimated 12 submissions. Contractor shall submit draft schedules 30 days prior to first class.
Government will review and comment within 20 days, Contractor shall submit final within 5 days after
Government review.
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
17. PRICE GROUP
A006 TECHNICAL REPORT – STUDY/SERVICES Recommendations to improve Open
House function
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW 4.2.7 NUWCDIVNPT CODE 10
18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
1 TIME See Block 16
b. COPIES
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
N/A N/A
16 REMARKS
Block 9 – See Block 16 Addendum
Block 10/12 – Submit 30 days prior to Open House event
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DESIREE GILLILAND 09/01/2016 Martha Merriwether 9-14-2016
DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 3 of 3 Pages
DD FORM 1423
BLOCK 16 ADDENDUM
PR 1300597575
BLOCK 9: The following information is specifically included in amplification of the Block 9
Distribution Statement shown on each DD FORM 1423.
CDRL A001 through A006
Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.
BLOCK 9:
Distribution Statement B: Distribution to US Government agencies only; Administrative and Operational Use
(date data generated). Other requests for this document shall be referred to NUWCDIVNPT Code 10
The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with
DISTRIBUTION STATEMENTS identified in all CDRL Items.
WARNING - This document contains technical data whose export is Restricted by the Arms Export Control Act
(Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
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